Holton Manor
645 N Church St, Elkhorn, WI 53121
Holton Manor, a 60-bed non profit - corporation nursing facility in Elkhorn, WI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #200 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2627234963
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #200 of 321
- In-state rank among rated WI homes
- 4.31
- Above average · nurse hrs/day · nat'l 3.86
- 17
- Inspection findings · 3 serious
The verdict
Holton Manor, a 60-bed non profit - corporation nursing facility in Elkhorn, WI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #200 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #200 of 321
- In-state rank among rated WI homes
- 4.31
- Nurse hrs/resident-day · national 3.86
- 17
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 323 WI nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 525541
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 54
- In Hospital
- No
- County
- Walworth
- Last Inspection
- May 6, 2026
Staffing Data
How the 4.31 total nursing hours per resident-day are staffed:
- RN Hours
- 0.63 (nat'l avg: 0.69)
- LPN Hours
- 0.78
- CNA Hours
- 2.90
- Total Nursing Hours
- 4.31 (nat'l avg: 3.86)
- PT Hours
- 0.15
- Nursing Turnover
- 51.8%
- RN Turnover
- 30.8%
What the CMS Record Reveals About Holton Manor
According to CMS Nursing Home Compare, Holton Manor ranks #200 of 321 rated nursing homes in WI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Holton Manor operates 60 certified beds in Elkhorn, WI with approximately 54 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 4★).
The inspection file contains 17 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 4.31 total hours per resident day (national average 3.86); RN hours specifically are 0.63 per resident day.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Holton Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.8% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (17 most recent)
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: May 30, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: May 30, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 25, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 25, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 20, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 23, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 2, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 2, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Nov 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 2, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 20.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 99.3% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Holton Manor, both outside WI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside WI (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside WI (3.89 here).
Nearby Nursing Homes in WI
322 other nursing homes are on record in WI; 6 are shown here.
Abbotsford Health Care Center
Abbotsford, WI
Alden Estates of Countryside, Inc
Jefferson, WI
Alden Meadow Park Hcc
Clinton, WI
American Lutheran Home-Menomonie
Menomonie, WI
American Lutheran Home-Mondovi
Mondovi, WI
Amethyst Health of Algoma
Algoma, WI
Understanding Nursing Home Data
What the CMS records show for Holton Manor
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The WI registry aggregates state averages and the highest-rated homes in this cohort. View WI registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in WI. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Holton Manor?
Where does Holton Manor rank among nursing homes in WI?
What are the staffing levels at Holton Manor?
How many beds does Holton Manor have?
Does Holton Manor have any deficiencies on record?
Has Holton Manor received any fines or penalties?
Who owns Holton Manor?
When was Holton Manor last inspected?
What quality measures are tracked for Holton Manor?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
